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Implants in the medically compromised patient.

Thomas Beikler1, Thomas F Flemmig

  • 1Department of Periodontology, University of Münster, Waldeyerstr. 30, 48149 Münster, Germany. beikler@uni-muenster.de

Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists
|August 9, 2003
PubMed
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It is time to move on.....

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This review provides guidelines for dental implant therapy in medically compromised patients. It evaluates common diseases and offers pre- and post-operative management strategies for successful oral rehabilitation.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Systemic Disease Management

Background:

  • Increasing prevalence of medically compromised patients undergoing dental implant surgery.
  • Lack of clear guidelines for pre- and post-operative management in this patient group.
  • Need for evidence-based data to support clinical decision-making.

Purpose of the Study:

  • To critically evaluate existing literature on dental implant therapy for medically compromised patients.
  • To provide clinicians with scientifically based data for managing these patients.
  • To propose guidelines for successful implant-supported oral rehabilitation.

Main Methods:

  • Comprehensive literature review and critical appraisal.
  • Analysis of common systemic and local diseases affecting implant outcomes.

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  • Evaluation of pathophysiologic aspects and their implications for implant success.

    • Main Results:

    • Identified key systemic diseases (e.g., bone metabolism abnormalities, diabetes mellitus, xerostomia, ectodermal dysplasias) impacting dental implant therapy.
    • Appraised the specific pathophysiologic influences of these diseases on implant outcomes.
    • Highlighted the need for tailored pre- and post-operative management protocols.

    Conclusions:

    • Evidence-based guidelines are crucial for dental implant therapy in medically compromised patients.
    • Understanding disease-specific implications is essential for optimizing pre- and post-operative care.
    • Proposed management strategies aim to improve success rates for implant-supported rehabilitation in this population.